Provider Demographics
NPI:1821046079
Name:OCAMPO, ALVARO J (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:J
Last Name:OCAMPO
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5961 SW 81ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-8119
Mailing Address - Country:US
Mailing Address - Phone:786-412-2156
Mailing Address - Fax:
Practice Address - Street 1:2 W DIXIE HWY
Practice Address - Street 2:AMO CLINIC
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-4312
Practice Address - Country:US
Practice Address - Phone:786-412-2156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME65508174400000X, 2083P0500X
FLME 65508208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG94952Medicare UPIN
FLE2616AMedicare ID - Type Unspecified